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Distributor Application Form B
Distributor Application Form B
exure1 1
Ann
nexure
Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001
DISTRIBUTOR A
APPLICA
ATION FORM
NAME:__________
_
___________
___________
______
APPLIEDFO
OR:_________________________
AREAA
Thisapplicationform
m,oncecom
mpleted,hastobesentttothefollow
wingaddress:
RohitCho
oudhri
JindalSte
eel&PowerLimited
JindalCentre
2Sector32
PlotNo.2
NearExitt10
Gurgaon122001
Foranyq
query/clarification,ple
easecontactt097112088015
Checklistt:
S.No
Annexu
ure1
Annexu
ure2
Annexu
ure3
Particularss
Application
n
BankersDeclaration
SelfDeclaration
Allpagesstobedulysigned
Pagge|1
Anneexure1
Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001
COMPANY/FIRM
DETAILSSOFTHEC
Pho
otograph off
A
Applicant
Name:__
__________
___________
__________
____________
OfficeAd
ddress:____
___________
__________
____________
Tel:____
___________
__________
___________
____________
Fax:____
__________
___________
__________
_____________
Email:__
___________
__________
___________
____________
CorporatteStatus:Pu
ublicLtd./P
Pvt.Ltd./Paartnership/Proprietaryy.
Establish
hedSince:
Name(s))oftheMan
nagingDirecctor:
Name
Teel.No.
Address
NameoffWorkingPa
artners/Pro
oprietor:
Name
Address
TeelNo
ResidentialAddress((es)andTel.Nos.Ofthe
eManagingD
Director/Wo
orkingPartn
ners/
Personhandlingdaytodayoperrations:____
______________________
__________________________
Tel:_____
__________
___________
__________
____
Email:__
___________
__________
___________
____
Pagge|2
Anneexure1
Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001
GODOWN/WAREHOUSEFACILITIES
__________
____
Address:__________
GodownArea:_____
___________
__________
___________________________________
CoveredorOpenAre
ea:________
__________
___________________________________
Detailsofhandlingequipments:__________
___________
_________________________
DetailsO
OfBending/R
RebundlingFacility:____
___________________________________
Withinth
hecityoroutside______
___________
_____________
IfOutsid
de,distancefromtheCitty:________
___________
___________________________________
ORGANISSATIONDET
TAILS
Personauthorizedto
otakedecisio
onsalongwithDesignattion:____________________
___________
__________
No.ofSaalesStaff:__
NoofSup
pportStaff:_
___________
__________
_
(MIS,Acccounts,etc)
Totalstafff:________
___________
__________
_
Pleaseatttachorganizzationalchart.
Pagge|3
Anneexure1
Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001
Bankersdetails(WorkingCapitaal&Borrowiingdetails)
Nameofthe
Typeof
creditlim
mit(if
A
Account A
Authorized Address&
ba
ank:
account:
any)//WC
no.:
ssignatory:
Telno.
Limit//CC
Limit//OD
Limit/O
Other
borrow
wings
Capitallikelytobein
nvestedinJSSPLProducts:___________________________________________
CanwerrefertoyourrBanker:Yess_____No_____
SalesTaxxRegistrationNo.: Central:_____
_________________Loccal:______________________
TINNo.:__________
___________
_
BUSINESSSDETAILS
DateofC
Commencem
mentofBusiiness:______
_______________________
Pagge|4
Anneexure1
Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001
BU
USINESSDETTAILSOFTM
MTREBARS
ProductssDealtwith((TMTLongsFlatsCement)___________________________
Detailso
ofExistingTM
MTBusinesss(s):
Tonna ge(t)
Turnovervalue(Rs.Crs)
SlNo
Year
Nameof
ufacturer
manu
Detailso
ofOtherStee
elProducts:
SlNo
Year
Nameof
Tonna ge(t)
Turnovervalue(Rs.Crs)
manu
ufacturer
Pleaseatttach3yearssAuditedBaalancesheetandP/LAcccount
Numberofretails/d
dealersinNe
etwork:____
_____________________________________________
Doyouh
haveanyveh
hicletosupplythematerrialtodealerrs/retailerss:______________________
Presentlyydealinganyycompetitorsproduct(ss):__________________________________________
easeprovide
ethefollowingdetails:
Ifyes,ple
mpetitorpro
oducts:____
___________
__________________________________
1.Yearofstartofcom
etitorsName
e:________
___________
____________________________________________
2.Compe
eofacceptanceofourproposalwhaatwouldyouuproposeto
odowithyourexisting
3.Incase
competittorproduct:__________
__________
_____________________________________________
Pagge|5
Anneexure1
Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001
Doesyou
urfamilyme
emberimme
ediateorexttendedhaveeanyTMTd
distributorsh
hip.Ifyes,
pleaseprrovidedetaiilsasunder
Detailso
ofTMTDistriibutorship:
SlNo
Year
Tonna ge(t)
Turnovervalue(Rs.Crs)
Nameof
manu
ufacturer
TA
AXDETAILS
SalesTaxxregistration
UnderCSST:________
__________
___________
______________________________________________
UnderVA
AT/LocalSaalesTax(spe
ecifystate):_
______________________________________________
IncomeT
TaxNo.
PANNo.:_________
__________
___________
_______________
Detailsofward/circcle/range:_
___________
______________
Bankingd
details(Last2
2yrs.CAcertiifiedbalancesheet):
A/cNo.:__________
___________
__________
_______________
Turnoverr:_________
__________
___________
_______________
NameofBank:_____
__________
___________
_______________
Pagge|6
Anneexure1
Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001
GENERALL
AreyouassocciatedwithaanyofourG
Groupcompaany?:Yes/N
No
1. A
Iffyes,pleasegivedetails:
2.
TheapplicantthasmadeffulldisclosurreofalltheiinformationrequiredinthisApplicaation
mationreque
estedof,and
dgivenby,t heapplicanttandcontainedhereiniis
andallinform
trrueandcorrrectineachaandeverypaarticular.
3.
Any
A obligatio
ons undertaaken or expense incurrred by the applicant
n submittingg this
in
applicationand/orincon
ntemplation
noranticipattionbeingaappointedbyythecompanyas
ed JSPL Disstributor sh
hall be unddertaken orr incurred entirely on
n the
an authorize
wnbehalf.
applicantsow
No
N representtation(s) or statements((s) has/ havve been mad
de to be ap
pplicant by o
or on
4.
behalf of the companyy, or by an
ny employeee, servant or agent o
of the comp
pany,
co
oncerningth
heappointm
ment,orposssibleappoinntmentofth
heapplicant asanautho
orized
JSSPLDistributtor.
nauthorized
5.Bysubmittingth
hisapplicatio
on,theapplicantwillnootbecomean
dJSPLDistrib
butor
norwillitplaaceanyobliggationswhattsoeverupoonthecompanytoappo
ointtheappllicant
assanauthorizedJSPLDistributor.
Signature
e:
_____
__________
___________
____
Name:
_____
__________
___________
____
Designation: _____
__________
___________
____
_____
___________
__________
____
Date:
_____
___________
__________
____
Place:
CompanyySeal
Pagge|7
Anne
exure1
Annexu
ure2
Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001
BA
ANKERS D
DECLERAT
TION
TheBran
nchManagerr
Ref.:AcccountNo.
DearSir//Madam
I / We hold the captioned CC/D
DD/SB/CA/FD
D account inn your bankk and herebyy request yo
ou to
urbusinessw
withourprin
nciple
verifymyy/oursignatureswhicharerequiredinconnecttionwithou
companyy.
Bankersdetails
meoftheba
ank:
Typ
peof
Nam
creditlimit Account Authorised Address&Tel
no.:
signatory:
no.
acco
ount:
(ifany):
(
CanweR
RefertoyourrBanker:Yes_____
_No______
Theabovvesignaturessareverified
dasperourrecordswit houtanyressponsibilityonpartofth
he
Bankoraanyofitsoffficials.
Thankinggyou
For
Yourssin
ncerely
AuthorissedSignature/BranchM
Manager
Pagge|8
Anneexure1
Annexxure 3
Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001
SELF DE
ECLARAT
TION
Date:
Place:
M/sJindaalSteel&Po
owerLimited
d
JindalCentre,12,BhikaijiCamaP
Place,
NewDelh
hi110066
DearSir,
I/We, Sole Prop
prietor / Partners / Manaaging Direector of (Firm Name)
________
__________
___________
__________
_______________________________________________
(Mention
nname)___
___________
___________
______________________________________________
(mention
nnameofth
heapplicant),herebyun
ndertaketo informJindaalSteel&P
PowerLimiteedby
wayofaletterinwrriting,atthe
eearliestin caseofocc urrenceofaanyoftheb
belowmentiioned
events:
1.Changeintheconstitutionoftthebusinesss.
2.Changeinthebankaccounts.
3.Changeinauthorissedsignatorries.
4.Changeinlocation
nofregistere
edoffice/faacilities.
5.Impositionofanycivilorcrimiinalliabilityontheorgannizationforme/us.
odeclareth
hatgoingforrward;I/we shallnotunndertakeanyydistributorship/dealeership
I/Wealso
oftheco
ompetingpro
oducts.
Thankinggyou
Yourssin
ncerely
For
Authorise
edSignature
e
Pagge|9